PRACTITIONER RESOURCES

This page contains forms, handouts and other information for practitioners. 

Before proceeding, all practitioners, please read Handling Liability Issues. This helps clarify this issue that we receive many questions about.

Also, please read Coaching and Counseling And The 7 System. Your feedback is welcome.

NECESSARY FORMS

1. THE PRIVATE MEMBERSHIP AGREEMENT

The Private Membership Agreement For All Clients

Why we need this:

At this time, medical licensing boards in some areas of the United States are harassing practitioners who offer natural healing therapies. Some medical doctors do not want competition from natural healing methods.

A way to minimize this harassment that has been tested in court is to have all clients work within a private membership association. According to the US Constitution, the medical practice laws are to protect the public.  However, if one is inside a private membership association, one is no longer a member of the public and there is more freedom to do alternative healing under the 1st, 4th, 5th, 9th and 14th Amendments to the US Constitution.

The Rules Are:

1. Anyone who wishes to be supervised on a nutritional balancing program by one of the Helpers listed on this website must sign the private membership agreement. There is no cost (the membership fee has been waived).

I am sorry the form looks legalistic, but that is apparently best.

2. Do not accept an illegible electronic signature or just a check mark on an electronic file. Make sure you can read the name and signature, and preferably have the person print out the sheet above and fax, mail, or scan and email it back to you.

3. Send the signed Private Member Agreement (PMG) to your coach when you send in the person's first hair tissue mineral analysis and information sheets.

4. Clients who live outside the USA should also sign a Private Membership Agreement.

The Private Membership Agreement For All Clients

2. THE HAIR SAMPLING FORMS

How To Cut A Human Hair Sample (pdf)

(This form is better than the instructions from ARL.  The main difference is that we do not allow pubic hair, which they do allow.)

 

Animal Hair Sampling Instructions (Word document)

 

3. THE INTAKE FORMS

 

FORMS FOR HUMAN TESTING

 

              There are two types of human forms: one for the initial hair mineral test, and one for retests.  Each is two pages long.

 

Human initial test forms: Thanks to Jonathan Suarez, this is now available as a .pdf fillable form.  I suggest using it if you work by mail.  Clients can fill it out online, save it, and send it to you.  It is definitely more readable that way.  You need to personalize the Disclosure part at the bottom of page 1, and then save that, and then use the form with clients.

              The same initial intake form is also available here as a simple .pdf and as a Word document.

 

FILLABLE INITIAL INTAKE FORM.pdf.

 

INITIAL INTAKE FORM.pdf.  (cannot be filled out online)

 

Human retest forms:

 

RETEST FORM.pdf. (cannot be filled out online)

 

FILLABLE RETEST FORM.pdf (can be filled out online)

 

ANIMAL INTAKE FORMS

 

              Development programs are superb for all animals.  The only thing is that once must be willing to cook for dogs – the same food as for oneself.

Please always use the animal intake form when doing a program for an animal.  We need all this information to find the animal and interpret the hair test.

 

Animal Initial And Retest Hair Testing Form (.pdf)

 

Basic Information About Animal Programs

 

           

4. THE CONSULTATION LETTERS:

One of these letters must be used whenever you do any consultation with a client setting up a program.  The reason is so that you won’t forget any parts of the program.

            Some Helpers like to break the consultation into two shorter visits.  That is okay, but still use this form.

 

1. Adult Consultation Letter (.PDF)

 OR  Adult Consultation Letter (Word document)

 

2. Children’s Consultation Letter (Word document)

 

 

4. THE DIET HANDOUTS (These are periodically updated):

Food For Daily Use

Food For Occasional Use

Forbidden Food

Cooking

Pressure-cooking

 

 

5. THE QUESTION FORM (for asking a question of your coach)  Using this form makes things much easier for us and for your coach.

1. Question Form (Word document)

2. Question Form (.PDF document)

 

 

6. THE PATTERN LIST

            This is a list of the most important hair mineral test patterns.  The list is at Important Patterns List

When submitting a hair test to your coach, please note the patterns that you see that are on this list.  There are many other patterns, but these are the most important ones to learn.

 

7. OTHER HANDOUTS:

1. The Lifestyle Sheet (pdf)

2. Benefitting From Your Program (pdf)

3. Toxic Metals Sheet (pdf)

4. Daily Program Diary (pdf)

5. Information about the detoxification and development procedures.

            There are individual articles about each procedure.  Some clients will prefer these long and more detailed articles.  However, if one wants only the procedures, these are in a separate article called The Procedures Handbook.

 

RULES AND POLICIES FOR FINANCIAL ASSISTANCE

 Go to Scholarships.

 

RESEARCH AND WRITING MATERIALS

 

Case History Format to write up cases.  We really need case histories.  Helpers have all the information, which Dr. Wilson does not.  He will help edit them, and post them on this website.

 

VIDEOS YOU CAN USE

 

A number of our Helpers have put numerous videos up on YouTube, and perhaps other sites.

 

OTHER TIPS

 

For sending people small amounts of information via email over and over:  I use Apple Mail because one can have many signatures – each of which can be as long as you like.  An alternative is a program called textexpander at
https://textexpander.com/.

 

Recording visits:  This is a very, very good idea and will save you time because clients won’t be calling with questions that you already answered during the consultation.

To record a CD on the computer, you need to download a free recording program such as Audacity, or a similar one.

To record a file on an ipad or phone, download IRecorder or ITalk.  These are apps.

 

For phone consultations, a wonderful website to use is www.freeconferencecalling.com.  They will make a free recording of your phone call for you, and the phone call is free, as well.

 

To transfer large audio files when you record a CD, a good free service is at http://www.wetransfer.com.

 

To receive faxes on your computer as an email, a good service is http://www.faxitnice.com.  They give you a phone number to receive faxes.  When someone sends you a fax, you receive it as an email.  This means you don’t need a fax machine to receive a fax.

 

If you want to make your reports fancier, and are willing to purchase Adobe Acrobat Professional (several hundred dollars), you can embed an audio sound clip or even a video clip in a PDF using this program.

 

For information about how to promote your practice, and how to conduct your consultations, see Chapter 46 of the 2010, 2014 or 2016 editions of the Nutritional Balancing And Hair Mineral Analysis book or the 2019 edition of Development Science and Development Programs (the same book, only updated).

 

For legal information related to your practice, see Chapter 47 of the Nutritional Balancing And Hair Mineral Analysis book, 2010, 2014, 2016 or 2019 editions, OR the book, Legal Guidelines For Unlicensed Practitioners.

 

For tips on renting office space, read Renting An Office.

 

To learn more about writing consent, disclosure and disclaimer forms, you can go to the following website and take their courses: NTCW.net.  However, this information is covered in the book, Legal Guidelines For Unlicensed Practitioners by Dr. Wilson.

 

 

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